Child's details

Tip: Choose the ethnic group you most closely relate to

Tip: Leave this blank if no issues are known

Person who normally brings the child to Playgroup

"By confirming this I am certifying that the above information is accurate. I can ask to access this information at any time and will advise of any changes" 

Emergency Contact - NOT the person who brings the child

This information is required by the Ministry of Education for funding and development purposes and is stored electronically by St Columba Playgroup.